Catheter Ablation for Atrial Fibrillation in Patients with Chronic Kidney Disease and on Dialysis: A Meta-Analysis and Review
Conclusion: Our meta-analysis suggests patients with CKD and on HD are more likely to have AF recurrences compared to AF patients who do not have CKD. However, more robust evidence from randomized controlled trials comparing catheter ablation to pharmaceutical rhythm therapy is urgently needed to guide therapy in this difficult to treat population. (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - July 12, 2022 Category: Urology & Nephrology Source Type: research
Catheter ablation for atrial fibrillation in patients with chronic kidney disease and on dialysis – a meta-analysis and review
Background: Atrial fibrillation (AF) is common in chronic kidney disease (CKD) patients and is difficult to treat with antiarrhythmics and anticoagulants due to abnormal metabolism and increased side effects. Catheter ablation, if successful, may be a safer alternative. This review aims to analyse the effect of CKD or haemodialysis (HD) on recurrence of AF after catheter ablation .
This review evaluates efficacy of catheter ablation therapy in CKD and haemodialysis (HD) patients by with single catheter ablation therapy. Methods: MEDLINE, and Embase, and Pubmed databases were searched until December 2020. Two authors abstr...
Source: Cardiorenal Medicine - July 12, 2022 Category: Urology & Nephrology Source Type: research
Serum and Urine Osmolality as Predictors of Adequate Diuresis in Acute Decompensated Heart Failure: A Prospective Cohort Study
Conclusion
Measurement of serum osmolality and urine osmolality may have some utility in AHF, but interpretation should consider baseline values and dynamic changes to account for individual differences in sodium and water handling. (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - June 27, 2022 Category: Urology & Nephrology Source Type: research
Prediction of Acute Kidney Injury for Acute Type A Aortic Dissection Patients Who Underwent Sun ’s Procedure by a Perioperative Nomogram
Conclusions: AKI prediction models were established for ATAAD patients using preoperative, intraoperative, and postoperative information. Particularly, model 4 shows superiority in risk prediction for CSA-AKI. (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - June 22, 2022 Category: Urology & Nephrology Source Type: research
Prediction of acute kidney injury for acute type A aortic dissection patients underwent Sun ’s procedure by a perioperative nomogram
Conclusions: AKI prediction models were established for ATAAD patients using preopera tive, intraoperative, and postoperative information. Particularly model 4 shows superiority in risk prediction for CSA-AKI. (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - June 22, 2022 Category: Urology & Nephrology Source Type: research
Atrial Fibrillation and Anticoagulant Treatment in End-Stage Renal Disease Patients: Where Do We Stand?
The frequent coexistence in daily clinical practice of chronic kidney disease (CKD) and atrial fibrillation (AF), especially in the elderly, represents a conundrum for physicians, mainly related to the management of anticoagulant therapy. The reduction of estimated glomerular filtration rate (eGFR) impairs anticoagulant clearance, increasing bleeding propensity. Moreover, dysfunctional responses of endothelial cells and inflammatory systems both trigger thromboembolic status. Those mechanisms pose an increased risk of adverse events for AF patients with CKD. While several data suggested the use of direct oral anticoagulant...
Source: Cardiorenal Medicine - June 7, 2022 Category: Urology & Nephrology Source Type: research
Atrial fibrillation and anticoagulant treatment in end – stage renal disease patients. where do we stand
The frequent coexistence in daily clinical practice of chronic kidney disease (CKD) and atrial fibrillation (AF), especially in the elderly, represents a conundrum for physicians, mainly related to the management of anticoagulant therapy. The reduction of estimated glomerular filtration rate (eGFR) impairs anticoagulant clearance, increasing bleeding propensity. Moreover, dysfunctional responses of endothelial cells and inflammatory systems both trigger thromboembolic status. Those mechanisms pose AF patients with CKD to increased risk of adverse events. If several evidences suggested the use of direct oral anticoagulants ...
Source: Cardiorenal Medicine - June 7, 2022 Category: Urology & Nephrology Source Type: research
Subclinical aki and clinical outcomes in elderly patients undergoing cardiac surgery: diagnostic utility of ngal versus standard creatinine increase criteria
Background: AKI is a common and serious postoperative complication in patients undergoing cardiac surgery and its incidence is particularly high among elderly patients. Cardiac surgery-associated AKI (CSA-AKI) represents the second most common cause of AKI in the intensive care unit but its true incidence could be underestimated, especially in elderly population. The current biomarkers of AKI are unreliable and delayed during acute changes in kidney function. In the setting of subclinical AKI (SAKI), biomarkers of tubular damage such as NGAL, seems to be an early indicator of kidney damage. The aim of this study was to inv...
Source: Cardiorenal Medicine - June 3, 2022 Category: Urology & Nephrology Source Type: research
The utility of systemic immune-inflammation index for predicting contrast-induced nephropathy in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention
Objective: The systemic immune-inflammation index (SII), derived from counts of neutrophil, platelet and lymphocyte, have been developed to predict clinical outcomes in several cancers and cardiovascular diseases. The aim of this study was to evaluate the utility of SII to predict contrast-induced nephropathy (CIN) in patients with ST-segment elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PCI).
Methods: A total of 632 patients with STEMI who underwent primary PCI were retrospectively included. The patients divided into two groups based on the presence or absence of CIN. B...
Source: Cardiorenal Medicine - May 17, 2022 Category: Urology & Nephrology Source Type: research
Serum Thyrotropin Elevation and Coronary Artery Calcification in Hemodialysis Patients
Conclusions:
In hemodialysis patients, higher serum TSH was associated with elevated CAC Volume and Agatston scores. Further studies are needed to determine if thyroid hormone supplementation can attenuate CAC burden in this population. (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - May 12, 2022 Category: Urology & Nephrology Source Type: research
The prognostic significance of chronic kidney disease on the all-cause death of ischemic heart failure in the Chinese population: a prospective cohort study
Objective: Our team tried to explore the impact of chronic kidney disease (CKD) on all-cause death among ischemic heart failure (IHF) patients.
Methods: From December 2015 to June 2019, IHF patients were continuously recruited in the Department of Cardiology, Guangdong Provincial People's Hospital. Participants were tracked through telephone interviews until October 15, 2020, or until the clinical endpoints appeared. The clinical endpoints were defined as all-cause death. The date of death or the last follow-up date minus the discharge date were used to calculate the follow-up time.
Results: A total of 1568 IHF patients ...
Source: Cardiorenal Medicine - May 12, 2022 Category: Urology & Nephrology Source Type: research
Time Is Kidney: Relation between Pain-to-Balloon Time and Acute Kidney Injury among ST Segment Elevation Patients Undergoing Primary Percutaneous Intervention
Conclusion: Longer PBT may be an independent marker for the development of AKI in STEMI patients undergoing primary. (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - March 4, 2022 Category: Urology & Nephrology Source Type: research
Time is Kidney: Relation between Pain to Balloon Time and Acute Kidney Injury among ST Segment Elevation Patients Undergoing Primary Percutaneous intervention
Background: Among ST segment elevation myocardial infarction (STEMI) early hemodynamic changes may result in acute kidney injury (AKI) even prior to primary percutaneous coronary intervention (PCI), however, no information to date is present regarding the association between pain to balloon (PBT) and AKI. We evaluated whether PBT predicts the risk of AKI among STEMI patients undergoing primary PCI.
Methods: Medical records of 2343 STEMI patients undergoing primary PCI were reviewed. Patients were stratified by PBT into 3 groups: ≤120, 121-360 and> 360 minutes. Patients' records were assessed for the occurrence of AKI (d...
Source: Cardiorenal Medicine - March 4, 2022 Category: Urology & Nephrology Source Type: research
A Comparison of AKIN, KDIGO, and RIFLE Definitions to Diagnose Acute Kidney Injury and Predict the Outcomes after Cardiac Surgery in a South Asian Cohort
Conclusion: In a South Asian cohort, performance of AKIN and KDIGO criteria was comparable to diagnose AKI, while RIFLE definition, though overestimated the incidence of AKI particularly stage 1, and had an excellent discriminatory power to predict mortality compared to other two definitions. (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - March 3, 2022 Category: Urology & Nephrology Source Type: research
A comparison of akin, kdigo and rifle definitions to diagnose acute kidney injury and predict the outcomes after cardiac surgery in a south asian cohort
Conclusion:
In a South Asian cohort, performance of AKIN and KDIGO criteria was comparable to diagnose AKI, while RIFLE definition, though overestimated the incidence of AKI particularly stage 1, and had an excellent discriminatory power to predict mortality comp ared to other two definitions. (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - March 3, 2022 Category: Urology & Nephrology Source Type: research
